Acknowledgment
In the name of Allah who is the most magnificent and the
merciful, he is the one who grant us with knowledge and courage of
doing things that we are not worthy of doing. The compilation of
this report was a daunting task which was eventually made easy with
the grace of Allah.
I am grateful to my parents for their non-dwindling support as
they stood by me in every hour of need while making this report. I
am deeply honored to be a student of University of Central Punjab
which enabled me to do an internship. I am especially thankful to
my in charge Professor Nisar Ahmed who guided me throughout this
internship with his suggestions and guidance.
In the end I am thankful to the co-operative staff of human
resource department and management of SKMCH, especially the manager
Muhammad Ali and the officer Mr. Rameez who enabled me learns from
my six week internship. I am thankful for the support which the
staff members extended me as they taught me the basics and the
working of the departments. Without their support this internship
would not have been this much interesting.
Executive Summary
SKMCH &RC, which was formerly known as Shaukat Khanum
memorial cancer hospital and research centre is the first mover
institution of cancer in Pakistan. SKMCH starts its operation in
1994 as the first largest cancer equipped hospital according to
accepted standards in Pakistan
SKMCH &RC is the first largest hospital in terms of cancer
treatment and research centre. Except of this hospital, there are
many other lab centers and funds collection centre. There is work
in progress on two more hospitals in Peshawar and Karachi
SKMCH &RC competes on the basis of its modern equipment,
technology, research centre to treat cancer and effective
strategies to run the organization. This prompts its management and
doctors to serve their suffered needy patients diligently. SKMCH
&RC follows the modern technology to maintain data which
hospital information system, hired the excellent capable doctors
and give them a friendly environment
SKMCH &RC has the 24 developed departments with the five
executive management.. Each department has head of department who
runs the management of department. In human resource department,
they are performing several functions like compensation and
benefits, training and development, continuous education programs,
recruitment and selection, training and development, performance
evaluation In the hospital, employee from the executives to the
lower staff and even the patient visitors are bound to follow the
rules and regulation executed by the top management. Democratic
leadership, open communication, disciplined, responsibility are the
common moral values indulge in the culture of organization.
Now after the great success, SKMCH &RC focus on to expand of
hospital and improved systems in organization. This hospital proves
as a leading organization by their modern patterns, outstanding
doctors and management. This can be the benchmark for the other
hospitals of Pakistan. They can expand their expertise beyond the
treatment of cancer. Motivational leadership leads the motivation
and dedication of employees and doctors to serve the needy
patients.
INDUSTRY PROFILE
Industry analysis can be done on the basis of two segments. One
is the industrial analysis of cancer hospitals and the second
analysis considers the industrial performance of hospitals in
Pakistan. The global healthcare industry is growing at a fast rate
and is one of the areas that have the most urgent need of
automation. NetSol Technologies understands this need and has
developed a strategic collaboration with Shaukat Khanum Memorial
Cancer Hospital as part of a long term commitment for IT
development in the global health sector. Shaukat khanum is the
first mover in Pakistan as a cancer and research centre. So this is
the only place where poor people suffered from cancer are treated
and SKMCH internationally ranked as IT development organization and
largest cancer trust in Pakistan
Industry Overview of hospitals in pakistanSub Segment
OverviewFactorsComments
DemandWith growing number of patients, increase inpopulation,
greater health awareness and lack ofmaintained infrastructure in
public sector, highpreference is placed on the private sector
hospitals
SupplyWith growing number of patients, increase inpopulation,
greater health awareness and lack ofmaintained infrastructure in
public sector, highpreference is placed on the private sector
hospitals
Key PlayersAga Khan Hospital, Ziauddin and Liaqat
NationalHospitals are the biggest players in the private sector
hospitals in Karachi. Shaukat Khanum Cancer Hospital and National
hospital are amongst the leading inLahore
Trade BodyPrivate Hospitals Association
Regulatory BodyPakistan Medical and Dental Council
RecentDevelopmentsGovernment is keen on enhancing the
public-private hospital partnership to tackle the overall social
requirements for public health
Future prospectsThis sector exhibits a medium term potential
subject to rise in population and increase in the income level of
the population.
DemandPakistan has two parallel health care systems, public and
private. The private sectors share in health care had been rather
small in the beginning since great majority began as private
practices and transformed into hospitals over time. Increasing
population, industrialization, resultant high level of
environmental pollution and increased healthcare awareness and lack
of focus or a structured public health care system has effectively
limited the capacity of the existing public health care system in
the country. This has given rise to high demand of private sector
health care facilities to complement its public sector counterpart.
With growing number of patients and lack of maintained
infrastructure in public sector, an increased reference towards
private hospitals developed over the years, which seems to have
become an icon of a promised quality care and treatment. However
due to high quality services provided, private sector hospitals are
comparatively highly expensive than the public sector and
unaffordable for the large section of the population.
SupplyThe human resource available for health care have
gradually increased over the years and though there is annual
output of around 5,000 medical graduates from both private and
public medical colleges the current ratio of one doctor per 1,183
persons is below the recommended ratio by World Health
Organization(WHO) of one doctor per 1,000 persons. There is however
number of doctors, dentists and nurses which are not registered
with (Pakistan Medical and Dental Council) PMDC and practicing
hospitals/clinics. There are many private practicing clinics but
are mostly located in the urban areas of the country where they are
affordable and so in higher demand by the public. Their presence in
rural areas is negligible due to their expensive treatment being
out of reach for the masses. An increasing number of trusts, NGOs
and social welfare organizations have invested and support health
facilities which are also today serving a very large cross section
of the population. Most of such facilities are not for profit and
therefore primarily run on donations and grants including
Zakat.
Key PlayersAga Khan University is a first rate private hospital
located in Karachi and Hyderabad. They are the leaders of this
segments market, followed by Liaqat National Hospital and Shaukat
Khanum Cancer hospital, located in Karachi and Lahore
respectively.
Trade BodyPakistan Medical and Dental Council is the statutory
regulating body of all the medical education and practicing
institution, public and private. Its prime mission is to establish
uniform minimum standard of basic & higher qualifications in
Medicine &Dentistry throughout Pakistan. Private Hospital
Association is the trade body of all the private hospitals in
Pakistan.
Recent DevelopmentsThe need for public-private hospital
partnership is being strongly felt by the Government of Pakistan as
the health issues are prevailing in the country is unmanageable for
the public sector hospital alone. Private sector hospitals are
being encouraged for the provision of health facilities especially
in villages and small towns.
Future ProspectsLow public expenditure by government, lack of
expansion in the public health sector, increasing population with
rising income levels indicates a high potential for growth for the
private hospitals. According to our primary survey conducted, it
has been observed that 94% of the respondents perceive great growth
in their business especially in the next five years.
Company Profile of Shaukat Khanum memorial cancer hospital and
research centre
Shaukat Khanum Memorial Cancer Hospital and Research Centre
(SKMCH&RC) is a state-of-the-art cancer centre located in
Lahore, Pakistan. It is a project of the Shaukat Khanum Memorial
Trust, which is a charitable organization established under the
Societies Registration Act XXI of 1860 of Pakistan. The institution
is the brainchild of Pakistani cricket superstar, Imran Khan. The
inspiration came after the death of his mother, Mrs. Shaukat
Khanum, from cancer.
FAST FACTSInauguratedDecember 29, 1994
FounderImran Khan (Chairman, Board of Governors)
Annual budgetRs. 5.8 billion
Financially supported patients75% (since 1994)
Philanthropic spendingRs. 11.88 billion (US$ 169 million)
Area/Location20 acres in Lahore, Pakistan
Beds176
New registrations9,542 (Year 2012)
Outpatient visits156,766 (Year 2012)
Chemotherapy31,198 (Year 2012)
Radiation treatments51,865(Year 2012)
Admissions8,613 (Year 2012)
Surgical procedures6,990 (Year 2012)
Pathology tests3,740,838 (Year 2012)
Imaging studies160,574 (Year 2012)
Pharmacy Dispensing1,092,480 (Year 2012)
Staff1,808 (90 Consultants, Physicians & Surgeons)
Dawn of SKMCH (Making Of the Hospital)
Designing and execution of the master plan was overseen by Dr.
Nausherwan K Burki MB, PhD, FRCP, FCPS, FCCP, of the University of
Kentucky Medical Center, Lexington, Kentucky, USA in collaboration
with an international team of cancer physicians and research
workers. Designing and architectural services were provided by
Arrasmith, Judd & Rapp, and Architects in Health Planning of
Louiseville, Kentucky, USA. Architectural details were handled by
Messrs. Nayyar Ali Dada & Associates of Lahore. Local
engineering was performed by Messrs. Progressive Consultants,
Lahore. Ground was broken in April 1991 and the hospital opened its
doors on December 29, 1994.
MissionTo act as a model institution to alleviate the suffering
of patients with cancer through the application of modern methods
of curative and palliative therapy irrespective of their ability to
pay, the education of health care professionals and the public and
to perform research into the causes and treatment of cancer.
VisionLets Bowl Out CancerImran was a fine all-rounder cricketer
and inspirational captain whose crowning achievement was leading
Pakistan in winning the 1992 World Cup. He uses their emotions
about cricket and that why he made a slogan related to cricket and
that was Lets Bowl Out Cancer.
Cancer is curable.This sentence was first used to aware the
people of Pakistan and also try to change the misperception about
the cancer.
SLOGON The two crescents in the slogan are representing S for
Shaukat Khanum and the NURSING CAP stands for serrving patients
with care, and the stars on the crescents stands for glory ,peace,
success and new life.
Corporate Values
Welfare
Our foremost value is welfare of the patients who are suffering
from cancer. We want to work for the betterment of
humanity.Integrity
We are committed to integrity in all we do, always,
everywhere.Respect
We respect every individual. We draw strength from equal
opportunity and diversity, at the same time supporting personal
growth and development. We value each other and we all benefit from
the entrepreneurial spirit of each individual.Teamwork
Teamwork is the essence of our ability to succeed as a universal
and international network bank. Our overriding loyalty is to the
whole organization, requiring us all to learn from each other and
to share our skills and resources worldwide for our customers'
benefit.
Accountability
We put special attention on accountability because our
organization depends on the funds and donations from the people we
have a proper system of check and balances because without that we
cannot gain the trust of people. SKMCH& RC accounts are audited
by Messrs A. F.Ferguson a well known international auditing
company1 - Patient Services
They have had around 9500,000 patient visits as of June 30,
2006. Over 80% of these patients have been provided free treatment.
The amount of money spent to provide free treatment to indigent
patient in this is well over $28 million.
2 Services to Pakistan
The Hospital uses it resources for the benefit of the population
as a whole. We hold seminars and conferences in Oncology and other
areas as diverse as Housingkeeping, Biomedical Engineering and
Cancer Awareness. For public awareness, Article on common cancer is
regularly published in the press both in Urdu and English.
3 Education and Training
It is the integral part of the hospitals vision to educate and
train Healthcare professional who can help improve the standard of
medical care in Pakistan. Other educational activity include
courses and training programmes under the guidance of local and
international professionals in the field of cancers, treatment and
awareness as follows
Intramural and Collaborative e.g.University of Bradford,
UKCollege of Physicians and Surgeons of PakistanDoctors -
post-graduate training programsNuclear Medicine &
RadiologyMedical Oncology & Radiation OncologyPathology &
Medicine Nursing purpose built educational facilityOncology
nursingMedical technology lab and radiologyAllied health
specialties respiratory therapy
4 Research
The hospital is currently involved in the several research
projects mainly involving cancer drug research, patient treatment
outcomes, epidemiology studies, appetites, ethical and Lahore tumor
registry
5 AffiliationsShaukat Khanum is affiliated with some of the
worlds most prestigious cancer hospitals, which assist in training
personnel and providing collaboration on the lastest innovations in
cancer treatment and research. These affiliations includeChristie
Hospital, Manchester, UK.The University of Kentucky College of
medicine, Lexington, KY,USA.DKFZ (Detaches Krebsforschungszentrum),
Heidelberg.
UNIQUE ASPECT OF ORGANIZATION WORTH NOTE
PET CT scanThere is no pet ct scan in Pakistan and patients has
to go abroad for this essential test as a part of its ongoing
program of clinical excellence in cancer care,SKMCH and RC is
investing in cyclotron and CT PET for the benefits of Pakistani
patients .this will require a massive investment of almost 5
million us dollar. Work has started on the project and the facility
should be available by late 2007.SKMCH AND RC will also be able to
provide the isotope 18 FDG to other centers as far away as
Karachi.
Bone marrow transplantationSKMCH AND RC conducted its first bone
marrow transplantation procedure on a patient name MUHAMMAD SALMAN
on April 26 2006 making it the fourth facility in Pakistan, by the
first in Lahore, to have acquired the facility. The transplantation
which cost RS 1400000 was conducted absolutely free .the project
was financed by a generous donor who wishes to remain
anonymous.
BOARD OF GOVERNORS
The Board of Governors of the Shaukat Khanum Memorial Trust
comprises of bankers, researchers, businessmen and physicians.Mr.
Imran Khan (Chairman)Mrs. Aleema KhanumDr. Uzma AhadMr. Ashiq
Hussain QureshiDr. Nausherwan Khan BurkiMr. Rashid Ali KhanMr.
Ahsan RashidMr. Sarfaraz Ahmed RehmanMr. Zain ul Hassan ShabbirMr.
Farrukh Irfan KhanMr. Mujahid HamidMr. Imtiaz Hussain HydariMr.
Mansoor A. JavedDr. Tauseef Ahmed.Professor Jeffery Lucas
MANAGEMENTDr. Faisal Sultan,Chief Executive OfficerDr. M. Aasim
Yusuf,Medical DirectorMrs. Virginia A. Gumley,Director NursingMr.
Tariq Azam,Director Marketingand Resource DevelopmentMs. Tasnim
Beg,Chief Financial OfficePROJECTS OF SKMT
Being the only cancer centre in the entire region with all the
specialized cancer diagnostic and therapeutic facilities the
Shaukat Khanum Trust realizes its colossal responsibilities in its
fight against cancer. It has established a number of centers all
over Pakistan that help in the awareness and early diagnosis and
treatment of Pakistan.
Hospitals:Shaukat Khanum Memorial Cancer Hospital & Research
Centre ( Lahore , Pakistan )Shaukat Khanum Memorial Cancer Hospital
& Research Centre ( Karachi & Peshawar, Pakistan Land
Purchased, Planning in process)OutreachCancer Screening
Clinics:Shaukat Khanum Karachi Clinic ( Karachi , Pakistan )Shaukat
Khanum Peshawar Clinic ( Peshawar , Pakistan )Community screening
service ( Lahore , Pakistan )Diagnostic Centers:Shaukat Khanum
Diagnostic Centre( Lahore , Pakistan )Shaukat Khanum Diagnostic
Centre ( Karachi , Pakistan )Pathology Collection Centers:54
Shaukat Khanum PathologyCollection Centers(all over Pakistan )
DEPARTMENTS
Shaukat Khanum Diagnostic CentreSKDC was established on 17th
December, 2003. It is one of the leading diagnostic facilities
(Radiology and Pathology) available in the market. It is providing
excellent diagnostic services to a wide range of customers. It is
equipped with state of the art radiology machines to ensure
patient's & physician's satisfaction.Comprehensive Health Care
Clinic (CHCC)Shaukat Khanum Memorial Cancer Hospital offers a
comprehensive medical examination facility that provides you an
opportunity to evaluate your health status and discuss ways with
high qualified health care professionals to remain healthy. The
program is offered in the form of a package that allows two visits,
giving you a unique opportunity to get a detailed picture of your
health.Financial AssistanceIt is estimated that about 150,000 new
cancer cases are diagnosed in Pakistan each year. Shaukat Khanum
Memorial Cancer Hospital & Research Center was built with the
mission of providing state-of-the-art diagnostic and therapeutic
facilities for cancer patients irrespective of their ability to
pay.Outpatient & Ambulatory ServicesSKMCH&RC provides
emergency service to all its registered cancer and non-cancer
patients 24 hours a day 365 days a year.
SERVICESAnesthesiologyclinical RadiologyMedical OncologyInternal
MedicineNursing divisionNuclear MedicinePathologyPediatric
OncologyPharmacyRadiation OncologySurgical OncologyFood and dietary
servicesHuman resource departmentMarketing departmentMaterial
management departmentFinance departmentQuality assurance
departmentLegal affairs and risk managementHousekeepingTransport
poolCommissioning of the HospitalSource of Money:Donations
67%Credit and loans33%Cost$ 22 m
Building$ 7.7 mMedical equipment$ 10.5 mAncillary equipment$ 4.4
mFundraisingThe various activities related to each section are
given below.Fundraising ActivitiesThe two major sources of
fundraising are: -ZakatDonationsZakat According to Shariah (Islamic
Rule), an individual has to give 2.5% of his wealth held during the
year, in charity, This is called as Zakat. Zakat can be given at
any time of the year. However, traditionally most of the people pay
Zakat, during the month of Ramadan (Islamic Calendar month in which
Muslims fast). To collect maximum amount under the head of Zakat,
which is totally spent on the treatment of poor cancer patients. A
comprehensive campaign is launched in Pakistan and overseas. All
offices of SKMCH&RC participate in this activity and are
supervised and coordinated by the head office at Lahore.
DONATIONFollowing products/campaigns collectively contribute
towards achieving the revenue targets of Donations: -
Fundraising from High Net-Worth IndividualsSponsor a Cancer
Patient Concerts / Fundraising DinnersSchool Fundraising
CampaignEquipment / Material & In-kind Donations Hide
Collection Campaign Fundraising from Corporate SectorIn-Patient
Room NominationSponsorship of New ProjectsSMS CampaignPTCL Hope
LineBlood Donation
Volunteer
At Shaukat Khanum Memorial Cancer Hospital & Research
Centre, volunteers register to assist or undertake activities at
the Hospital of their own free will and without remuneration.
Volunteers who have served a minimum period of two weeks are
awarded an appreciation certificate in recognition of their
services.
Support GroupsSKM Tiger ClubSKMCH&RC was made possible by an
outpouring of support from the whole country including school
children. The original "Imran's Tigers" was re-launched as the SKM
Tigers Club in November 2008. On its launch, the children joined in
enthusiastically and balloons filled the air as they sang songs to
express their commitment and support. Cause to engage the children
in various healthy activities and allow them to participate in
volunteering activities at the Hospital
SKM AmbassadorSKM Ambassadors have been selected all over
Pakistan to help raise awareness about cancer and the Hospitals
fundraising campaigns.
SKM OFFICES IN PAKISTANKarachi Office Shaukat Khanum Memorial
Trust Suite# 10, Mezzanine Floor, Hamilton Courts, G-II, Near Teen
Talwar, Main Clifton Road, Clifton, Karachi, Pakistan Ph: +92 21
35872573,+ 92 21111-155-555 Fax: +92 21 35872574
Email:[email protected]
Islamabad Office Shaukat Khanum Memorial Trust 2 Royal Centre
106-West, Fazl-e-Haq Road, Blue Area, Islamabad, Pakistan Ph: +92
51 32273400, +92 21111-155-555 Fax: +92 51 32274049
Email:[email protected]
Collection Centers in PakistanAbbottabad Bahawalpur Chakwal Dera
Ismail Khan Dera Ghazi KhanFaisalabad Gujranwala Gujrat Islamabad
JhelumKarachi Lahore Mardan Mirpur MultanPeshawar Quetta Rahim Yar
Khan Rawalpindi SahiwalSargodha Sialkot Swat TemergaraSKM OFFICES
OVERSEASUK Office Imran Khan Cancer Appeal PO Box 786, 66 Little
Horton Lane Bradford, BD5 0YE, UK Ph: +44 1274 424 444 Free Phone
(UK): 0500 786 101 Fax: +44 1274 424 999
Email:[email protected] Office Shaukat Khanum Memorial
Trust PO Box 215253, Dubai, UAE Email:[email protected] Office
Imran Khan Cancer Appeal Inc, Suite # 201, 195 Farmington Avenue
Farmington, CT 06032, USA Ph: +1 (860) 674 8865 Fax: +1 (860) 674
9007 Email:[email protected]
PATIENT
STATISTICSYearPatientsRegisteredOutpatientVisitsAdmissionsChemotherapyTreatmentsSurgicalOperationsRadiationTherapyImagingStudiesPathologyTestsPharmacyDispensing
*1994 -
199925,862125,0099,09257,4006,77879,37392,9161,408,358640,962
20003,01440,3252,5999,6001,53117,03326,703392,120311,245
20013,65649,5113,1029,3221,84722,17031,462565,717383,018
20023,09349,2703,30911,6901,82825,05936,138664,763413,782
20033,48654,1903,66812,8392,26826,14945,025878,330457,398
20044,21969,0234,17715,3772,75032,31862,6571,148,224525,404
20056,57076,7364,91015,8683,79536,32680,4551,411,930586,891
20067,69687,5345,13418,2064,08039,54595,6461,762,116622,528
20079,125112,7146,02323,7194,39841,463117,9242,176,649735,472
20089,529119,0376,07923,7094,51443,143128,6362,368,844740,288
20097,981124,3726,54526,4484,48743,307132,5782,494,616792,795
20109,120130,1656,78527,5886,10942,888134,1772,852,347851,126
20119,480141,8067,61831,3676,56044,540153,1253,251,680931,848
20129,542156,7668,61331,1986,99051,865160,5743,740,8381,092,480
Total112,3731,336,45877,652314,33157,935545,1791,228,55525,116,5329,085,237
*Dec.1994-Dec1999
Note: 75% of the patients receive financial support.
FINANCIAL STATISTICSRevenue (Rs. In Millions)1994- 2012
YearHospitalServicesZakatDonationsOtherIncomeTotalRevenue
Dec 2012*2,2021,6691,1731655,209
Dec 20111,9761,343908634,290
Dec 20101,546813614373,010
Dec 20091,281865620472,813
Dec 20081,125646460372,268
Dec 2007954535486332,008
Dec 2006750438273341,495
Dec 2005573265320291,186
Dec 2004424397368331,222
2003-200437428723814913
2002-200326124417815698
2001-200223415217417577
2000-200121113119015547
1999-200013911715217425
1998-199911310012911353
1997-1998909910311303
1996-1997621171057291
1995-1996351098718249
1994-1995546855141
Operating Expenses (Rs. In Millions) *For The Year 2012
CategoryAmountPercentage
Salaries and benefits - medical staff1,14327%
Salaries and benefits -admin staff42510%
Medicines63815%
Pathology, Nursing & Other Supplies1,00424%
Utilities2145%
Fundraising expenses1213%
Finance costs231%
Repairs and maintenance1784%
Other Operating Expenses42610%
Operating expense4,172100%
* Operating Expenses for the year ended December 31, 2012.*
These are draft figures and subject to audit
SKMCH BUSINESS PROCESS AND MANAGEMENTPlanningSKMCH & RC
stated goals are their real goals. They dont have any
discrimination between them and they work in the same way as they
project in their companys statement.
Long Term GoalsResearch basic and clinical.Community and
outreach services.Enhancement of automation.Capacity
enhancement.Support services building2006-07Fourth clinical
building2006-08Regional cancer centersKarachiPeshawar New
Directions in Fundraising.4 Storey Block (if permitted by
Government, 9 storey block).Phase 1: Basement + 3 Floors.Phase 2: 5
Floors.At the moment, Phase 1 & shell of Phase 2 under
construction.
ControllingEFFECTIVE CONYROL SYSTEM OF SKMCH &RC
AccuracyTime linesEconomyFlexibilityUnderstandabilityReasonable
criteriaStrategic placement
Types of controlSKMCH& RC is applying different types of
control at different levels (head of departments) in order to
measure the performance closet to the standards(rules and polices
defined by HR) and to evaluate the efficiency of the
organization.FORWARD CONTROLFEEBACK CONTROLQUALITY
CONTROLSKMCH& RC is applying Feed FOWARD CONTROL at INPUT LEVEL
and evaluate the resources of the hospital .it is using FEEDBACK
CONTROL at OUTPUT LEVEL and they get this feedback from the
patients. They keep channel open with the patients and consider
them as their partner and keep open communication. They also use
QUALITY CONTROL as modern controlling concept.
HOSPITAL CONTROL SYSTEMHospitals control system is comprises of
following steps.They have rules and procedures made by HR manager
to measure the performance of the hospital.Then they evaluate their
performance against their target and standard.After evaluating
their performance if they find any deviation in the performance
from the rules and procedures they take appropriate action.
OrganizingAssign task and responsibilityCoordinate diverse
organizational taskEstablishes relationship among individual,
groups and departmentsEstablishes formal line of authorityAllocate
organizational resourcesPurpose of organizingDivide work to be done
specific jobsOrganizations Structure
Organizations Culture
Shaukat Khanum has a very strong and corporate culture.They have
people oriented culture where they take decisions and account the
effects of them on the people of an organization.They have
innovative culture in which they encourage their employees to be
innovative and risk takers to some extents.There is no formal dress
code but the jeans are not allowed for ladies.Eatables are not
allowed in any department except marketing department because that
department has its own kitchen.Employees must reach and leave the
office in time.
Employees are learning cultureThe employees are learning culture
through rituals.Location & MarketIn Pakistan the SKMCH is
situated in Johar Town Lahore and covers all over
Pakistan.Organizational StructureShaukat Khanam is organic and
highly structured organization. As they have very uncertain
environment because they have to face new challenges concerning
treatment and research of cancer
Work SpecializationThey have divided their work in different
departments and every individual does his own job, like Marketing
Department, Finance Department and HR Department.
DepartmentalizationSKMCH has highly functional
departmentalization. The Marketing Department is mainly the Profit
Center of SKMCH .They collect the profit for SKMCH and use that
profit in the treatment of needy patients.
DecentralizationThey are following the concept of
decentralization .They having divided the ORGANIZATION into
different zones and the head of the department take ideas from
their subordinates while taking decision.
FormalizationSKMCH have standard rules and procedures to guide
the behavior of the employee.
Span of ControlSKMCH have a flat structure and have a wider span
of control
TechnologySKMCH and RC is equipped with highly advanced and
modern machinery and the organization off and on spent a large
amount of money on making their machinery and equipment updated
Communication SystemThey have a very strong and cooperative
communicational system. They use intranet communicational system
and share their ideas with each other very frequently.MANAGEMENT
PRACTICESHRM Policies of SKMCHGender Justice PolicySexual
Harassment PolicyDiscrimination Policy
MotivationBy motivation we mean encouraging our employees to
give in all three effort fot the company to meet its objectives.Or
in other words it means the willingness to exert high level of
efforts to meet the organizational objective. For motivating a
person you have you understand what the needs and wants of the
employees. By motivation we mean encouraging our employees to give
in all their efforts for the company to meet its objectives. Many
theories were put forward by many scientists in order to better
understand the needs of patients. Some famous theories are Maslows
Hierarchy TheoryGoal Set Theory
Maslows Hierarchy TheoryThe management of SKMCH understand knows
that their employees have crossed the stages of psychological and
safety needs and our round about social, esteem or self
actualization needs as the result of this the management of SKMCH
has profiled into different categories and to some extend is
compensating them.
Employees are also given respect and every manager is strictly
advised not to use any loose language while talking to subordinates
and specially you feel proud in working at SKMCH one of the best
cancer hospital in Asia. Employees are also offered different
programs to improve their skills so that they can serve the company
in a better way.
Goal Set TheoryThe management of SKMCH monitors the efficiency
of their employees regularly and is very firstly allocates
different tasks to the employees and then evaluates which employee
enjoys working and how efficient he is. Based upon that different
cross functional teams are formed in which each member is assigned
a specific job which he carries out best. In this way they motivate
their employee.
Other Motivational ToolsThe company has a prize and shield award
in place on yearly bases to acknowledgement their employees
hardwork and performance and motivates them to go on doing even
more. These include:
Job RotationWithin the department the employees are motivated by
job rotation
Employee of the yearThe performance of all the employees in all
departments is consistently monitored during the year on the basis
of their performance at the end of the year one employee for each
department with highest points is given performance appraisal in
the form of prize of 3000 and a shield with a certificate.Annual
Feast SKMCH arranges annual dinner at the end of each year, where
awards are given musical evening is organized for the entertainment
of employees as a token of acknowledgement of their hardwork and to
encourages and motivate them to put in more efforts in the next
year.
Cricket FestivalSKMCH organizes a cricket festival every year
normally in the month of June in which the every department who
want to play must contribute Rs.2000/- and the total budget is
Rs.100000/-. The winner prize is Rs.25000/- and runner-up prizes
Rs.10000. Two trophies are given one to the winner and one to the
runner-up.
FLEXIBLE WORKING HOURSThe employees are also allowed to avail
flexible working hour. If they work late till evening they are
allowed to come late on the other day morning. They also have the
option to change their shift time from morning to evening or from
evening to morning.
\OPEN BOOK MANAGEMANTThe company also shares annual reports with
the employees giving them a clear picture of the hospital
performance and also a sense that employees are the roots for of
the company.
Leadership Styles
Leadership StylesSKMCH is practicing a democratic style.
Managers of the organization tend to involve their employees in
decision making .They also delegate authorities to their
subordinates. They encourage participation in deciding work methods
and goals at some extent and use feedbacks as an oppournities for
coaching employees.
SKMCH & RC DEPARTMENTAL FUNCTIONSMr. Tariq Azam,Director
Marketingand Resource Development knows that to remain competitive
in todays dynamic world he must understand the psyche of his
employees so that their needs can be fulfill and a motivated work
force can be created for them which will be a source of competitive
advantage over the competitors. The policies and practices one need
to carry out the people or human resource aspect of the management
position including the recruiting, screening, training, rewarding.I
complete my internship in the compensation and benefits of HRD. So
I can only highlight the process and working of human resource
departmentHuman resource department; Hierarchy
Mr. Tariq Azam,Director Marketingand Resource Development knows
that to remain competitive in todays dynamic world he must
understand the psyche of his employees so that their needs can be
fulfill and a motivated work force can be created for them which
will be a source of competitive advantage over the competitors. The
policies and practices one need to carry out the people or human
resource aspect of the management position including the
recruiting, screening, training, rewarding.1. Training and
development department:In this department there are two employees
who conduct the trainings of new and current employees and arrange
the trainers for the training .they gives the orientation to the
trainers and trainees. After and before training they conduct the
performance evaluation of trainees and conducted performance
appraisal results filed in the personal records of employees. After
training employees are awarded with the certificate.
TrainingShaukat Khanum gives two types of job training.On job
training.Off job training. Training budget varies according to
traning type.
COMPENSATION AND BENEFITS DEPARTMENT:I worked in this functional
department and assist Mr. Rameez for six weeks. There are three
more employees. Tasks performed by them are:Compensation of
Overtime adjustment:They and their internees update the overtime
adjustments of employees in the portal of HIS .employees submitted
the overtime adjustment form in which they mention the start timing
and end timing of their duty which is approved by their respective
.so employees are given by the monetary compensation with their
salary. Organization considers and gives value to their employees
who are devoted for their organization.
Employee old age benefits:SKMCH give many benefits to their
employees from which one is the old age benefits. This benefit is
for the every employee, whoever applies for this benefit can enjoys
the employee old age benefit after the 55 years of age. During my
internship the EOBI cards are distributed among the employees by
delivering them to their respective departments. Now they made the
software for the EOBI because employees apply for this more than
one time and centre of EOBI issues the card more than one time and
cards are being waste of those employees who left the organization.
For the purpose of retaining effective data of EOBI, they launch
the software on the portal
IncrementsAnnual increment takes place in the salary of the
employees every year. A fixed bonus is also given every
year..increment record saved in the personal records of employees,
by the head of department and by the financial department.
Contracts of employeesThere two type of contracts for the
doctors. One for the permanent faculty and second one are for the
visitors .contract for the visitors is called locum in which
doctors can also serve the other hospitals. For permanent doctors,
they are bound in a contract to serve and their practices are only
for shaukat khanum. Salary and benefit packages are different for
both contracts.
Educational benefitsDoctors and other employees can upgrade
their education easily. skmch provides the education leave to the
employees.
Leaves benefitsEmployees have leave quota which they can utilize
and if they dont utilize, then for the sake of motivation to the
employees for coming regularly, organization reward them by giving
monetary benefit. There are eight sick leaves, six casual +12 days
off
Issuance of entry cards and certificates to the
volunteers/internsInternees are hired for the quality assurance,
marketing, legal affairs and HR department and for the other
department volunteers are hired, volunteers and interns both are
hired for marketing department. Volunteers are two types, electives
and non-elective volunteers. Voluntary work and internship are
non-paid programs where students enhance the practical knowledge of
their studies. Some time ago they are paid programs for the needy
students but now they are non-paid programs. Volunteer work is for
two weeks and internship programs are for six weeks. Compensation
department issue the entrance card to the volunteers and to the
interns and after the completion they issue the certificate. They
retain the record of them by keeping the copy of certificate.
Issuance of I.D cards and employee certificate to the
employeesThe department issues the I.D cards of hospital to the
employees and giving to them the access to the doors of the
hospital separately according to the need of employee. For the
appraisal of employee performance they are awarded by the employee
certificate to the doctors.
Medical payment ,house rent and convenience allowanceThese are
the benefits which every employee earns according to their
designation and seniority.
Benefits also include bonus salary, transportation (only for
nursing)
Medical and education administration department: In this
department, hr responsible to give the platform for the nurses and
juniors doctors for the continuous education in terms of short
courses. They are responsible for offering course to the selected
medical staff. They also maintain the record
OrientationOrientation is the procedure of providing information
of the organization and the job. Orientation of SKMCH is of formal
type and is conducted on every Tuesday ContentsOrientation normally
covers the following contents.Welcome note from management
director.Mission, Vision and Values.Brief introduction of
hospitalCompanies profileorganizationThe working hours companys
profile.It also includes the fire training.Recruitment and
selection: Internal RecruitmentIn SKMCH, vacant posts are also
filled internally to provide an opportunity for the workers already
working in the organizations.External RecruitmentIn SKMCH,
experience candidates are preferred and hired.Selection CriteriaThe
selection is entirely based on merit which confirms to selection
criteria without any bias towards gender, religion, race, colour,
nationality, age and according to the procedure laid down in the
HRD policies.Selection ProcedureFilling out application
formsApplication screening (short listing)Test (Written and
practical)InterviewFinal selectionOrientationTrainingHiring
ProcessWhenever the organization needs employees for internal job
advertisement is made only inside the hospital and for external job
for the top level management and medical staff advertisement is
given in leading newspaper like DAWN and THE NEWS. Written test and
interviews are conducted only for the nursing staff and low level
employees and for top level management only interviews are
conducted.
Annual turnover rate
Turnover rate in SKMCH &RC is high but the turnover
percentage is confidentialSWOT ANALYSIS OF THE
SKMCHStrengthsSpecialized cancer hospitalEasy access to
allLaboratory collection centreHospitals Highly qualified
employeesExcellent environmentEquality among patientsHospital
information system portal (HIS)International linkagesAll facities
under one rooffree of cost quality treatment of cancer for needy
people research centershighly equipped machineryproper check and
balancesfirst preference to quality
Threats and ChallengesFundraising challengesHealthcare
costsCapacity limitationDearth of trained manpower
Competitive advantage
Although SKMCH &RC is not having any such competitor in Asia
but if we thing about anyone its AGHA KHAN Hospital but only in
cancer research. SKMCH & RC has the competitive advantage on
AGHA KHAN Hospital in quality treatment and revenue generating
field.
MIS Department
SKMCH & RC has management information system department
(MIS). Whole hospital system is being regulated by it. MIS
department has developed software of hospital information system
(HIS). This software is a core competency of hospital as none of
the Asian hospital is having such hospital. It can be only be
compete with any USA organization.
Quality First
We, at SKMCH & RC are guided by core principles of Quality,
Equity, Transparency and Merit. We are dedicated to:Providing High
Quality Service to our Patients irrespective of their
socio-economic status, in the timeliest manner.Acting as a Model
Institute in providing cancer education to healthcare professionals
and perform research into causes and treatment of cancer.Developing
and Nurturing a Culture, which motivates each employee to strive
for continual improvement in their work.
BibliographyReport on state bank of Pakistan on private hospital
report
fh10.https://www.google.com.pk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CC4QFjAB&url=http%3A%2F%2Fbusinessexecutives.blog.com%2Ffiles%2F2011%2F04%2Ffinal-skmh-report.doc&ei=iEcqUoOmBI-jhgfuy4CoBQ&usg=AFQjCNG60eND_pgawBAqTCLfJRh1Y5lVJgwww.shaukatkhanum.org.pkhttp://en.wikipedia.org/wiki/Shaukat_Khanum_Memorial_Cancer_Hospital_%26_Research_Centre
Appendices 1
Certificate of internship
Appendices 2
Employer evaluation form
28University of central Punjab